searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services Keypoints: Make sure you have identified medical necessity for a DME Durable Equipment Item Make sure you have documented the necessity Make sure you have a delivery receipt that the patient had received the DME Item Make sure you are reporting the right DME Item Make sure you are reporting the right place of service Make sure you have checked with your payer how they want you to report the DME Item on your Claims SEE Example of HCFA 1500 Claim Form on How to Use DME Durable Medical Equipment Modifiers CLICK HERE! List of Medical Modifiers for Durable Medical Equipment DME Billing Services RR — RENTAL. (USE THIS ‘R’ MODIFIER WHEN DME IS TO BE RENTED) This modifier is used for DME items that are rented, and will be used for equipment in the following categories: Inexpensive or other Routinely purchased DME (IRP), Frequent or Substantial Servicing (FS), Certain customized items, Other Prosthetic and Orthotic Devices (P & O), Capped Rental Items (CR), Oxygen and Oxygen Equipment. KH — DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period. KJ — DMEPOS ITEM, PARENTERAL ENTERAL NUTRITION (PEN) PUMP OR CAPPED RENTAL, Month four to fifteen This modifier is used for capped rental DME items. When using the KJ modifier, you are indicating you are billing for months four through thirteen/fifteen of the capped rental period. KI — DMEPOS ITEM, SECOND OR THIRD MONTH RENTAL This modifier is used for capped rental DME items. When using the KI modifier, you are indicating you are billing for the second and/or third month of the capped rental period. searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services A8 — DRESSING FOR EIGHT WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A5 — DRESSING FOR FIVE WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A4 — DRESSING FOR FOUR WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under other benefits. A9 — DRESSING FOR NINE OR MORE WOUNDS. (EFFECTIVE DATE 1/1/2003) Surgical dressing codes...

About Ms. Pinky

Ms. Pinky as she is fondly called is a Professional Consultant and Reputable Expert in Practice Administration, Medical Billing, Coding, Reimbursement, Insurance Credentialing and Compliance for Medical Practice Offices. Read More